Stuttering An Integrated Approach to Its Nature and Treatment

Half Title......Page 2
Title......Page 3
Copyright......Page 7
Contents......Page 4
Preface......Page 8
Acknowledgments......Page 9
SECTION 1 Nature of Stuttering......Page 10
1 Introduction to Stuttering......Page 12
Perspective......Page 14
Overview of the Disorder......Page 16
Definitions......Page 19
Basic Facts about Stuttering and their Implications for the Nature of Stuttering......Page 27
2 Constitutional Factors in Stuttering......Page 47
Biological Background......Page 51
Sensory and Sensory-Motor Factors......Page 63
Language Factors......Page 71
Emotional Factors......Page 73
A Lay Description of Constitutional Factors......Page 77
3 Research Findings about Constitutional Factors in Stuttering......Page 82
Hereditary Factors......Page 83
Congenital and Early Childhood Trauma Studies......Page 89
Brain Structure and Function......Page 91
Sensory and Sensory-Motor Studies......Page 100
Sensory-Motor Control......Page 104
Language Factors......Page 109
Emotional Factors......Page 110
4 Developmental, Environmental, and Learning Factors in Stuttering......Page 114
Developmental Factors......Page 118
Environmental Factors......Page 127
Learning Factors......Page 133
Physical and Motor Skill Development......Page 151
Speech and Language Development......Page 152
Cognitive Development......Page 157
Environmental Factors......Page 158
6 Theories about Stuttering......Page 164
Theoretical Perspectives about Constitutional Factors in Stuttering......Page 169
Theoretical Perspectives on Developmental and Environmental Factors......Page 180
An Integration of Perspectives on Stuttering......Page 187
7 Normal Disfluency and the Development of Stuttering......Page 207
Overview......Page 210
Normal Disfluency......Page 214
Younger Preschool Children: Borderline Stuttering......Page 222
Older Preschool Children: Beginning Stuttering......Page 227
School-Age Children: Intermediate Stuttering......Page 234
Older Teens and Adults: Advanced Stuttering......Page 241
SECTION 2 Assessment and Treatment of Stuttering......Page 252
8 Preliminaries to Assessment......Page 254
The Client’s Needs......Page 257
The Client’s Right to Privacy......Page 258
Cultural Considerations......Page 259
The Clinician’s Expertise......Page 263
Assessment of Stuttering Behavior......Page 264
Assessing Speech Naturalness......Page 280
Assessing Speaking and Reading Rate......Page 281
Assessing Feelings and Attitudes......Page 283
Continuing Assessment......Page 309
9 Assessment and Diagnosis......Page 314
Preschool Child......Page 321
School-Age Child......Page 349
Adolescents and Adults......Page 362
10 Preliminaries to Treatment......Page 385
Clinician’s Attributes......Page 387
Clinician’s Beliefs......Page 390
Treatment Goals......Page 391
Therapy Procedures......Page 395
11 Treatment of Stuttering in Younger Preschool Children: Borderline Stuttering......Page 405
An Integrated Approach......Page 407
Other Clinicians......Page 425
12 Treatment of Stuttering in Older Preschool Children: Beginning Stuttering......Page 438
An Integrated Approach......Page 440
Another Clinician......Page 455
Treatment of Concomitant Speech and Language Problems......Page 458
13 Treatment of School-Age Children: Intermediate Stuttering......Page 463
An Integrated Approach......Page 466
Other Clinicians......Page 498
14 Treatment of Stuttering in Adolescents and Adults: Advanced Stuttering......Page 507
An Integrated Approach......Page 510
Other Approaches......Page 547
15 Related Disorders of Fluency......Page 558
Neurogenic Acquired Stuttering......Page 561
Psychogenic Acquired Stuttering......Page 568
Cluttering......Page 573
References......Page 586
Author Index......Page 634
Subject Index......Page 655